IPC Exam 1 Flashcards
hint
for exam questions: know your top OTC list!
exam questions
allergy and cough meds
brand
generic
pharm. category
ROA
OTC Facts & Figures
OTC products with approximately _800___ different active ingredients are currently available
U.S. consumers make _26__ trips a year to purchase OTC products. They only visit doctors, on average, three times a year.
__93__% of U.S. adults prefer to treat their minor ailments with OTC medicine before seeking professional care
85% of U.S. parents prefer to treat their children’s minor ailments with an OTC medicine before seeking professional care.
do not need to memorize the stats
OTC meds provide
$102 billion in value to the US healthcare
because trips to the doctor’s office is expensive and OTC is less expensive than the rx
physicians and consumers agree
OTC meds are the preferred first line of treatment
The Role of the Pharmacist in Self-Care
Pharmacists are the only healthcare professional that receives formalized training in over-the-counter (OTC) medication therapy.
common self-care requests
headache
what if they come and ask what you have for headaches
Quickly and accurately assess the patient
What should ALWAYS be the FIRST question you ask a patient requesting an OTC product?
- who is this medication for on exam
Ask about the current complaint (SCHOLAR)
Ask about pertinent medical history (MCPHS)
Quickly and accurately assess the patient: Ask about the current complaint (SCHOLAR)
S - symptoms, : What are the main and associated symptoms?
C - characteristics, how did it start, can you qualify it further, is it pounding, is it a tight band, What is the situation like, is it changing?
H - history, what have you done already, have you tried anything yet
O - onset, when did it start
L - location, where is the pain
A/R - Aggravating and remitting factors: what makes it better / what makes it worse?
this is all subjective, self-reported
Quickly and accurately assess the patient: Ask about the patient’s pertinent medical history (MCPHS)
M - medication
C - co-existing conditions, current disease conditions
P - products, ask about some new products they may be taking
H - hypersensitivites
S - social histories like alcohol and smoking and elicit categories, who do they live with
QuEST
Establish that the patient is an appropriate self-care candidate
- Verify if there are any exclusions to self-care
Suggest appropriate self-care strategies
Medication
- Nonprescription medication (OTC)
- Non-pharmacologic (“non-pharm”) recommendation
Talk with the patient
- About medication (actions and administration)
- About what to expect from treatment
- About appropriate follow-up
Qu: SCHOLAR MCPHS
E: Establish if the patient is an appropriate candidate for self-care.
- No, this patient is excluded from self-care
- Yes, this patient is a candidate for self-care treatment, with referral*
- Yes, this patient is a candidate for self-care (without referral)
if No, this patient is excluded from self-care - Refer to provider*
if Yes, this patient is a candidate for self-care treatment, with referral - Self care recommendation?
If yes, this patient is a candidate for self care (without referral) - *When should this patient follow up with their provider?
if yes to Self care recommendation? - Yes
Nonprescription Medication
+/- Nonpharmacologic
if yes to *When should this patient follow up with their provider? No
Non-Pharmacologic recommendation only
Why exclude a patient from self-care or require a referral?
Constraints of community pharmacy setting
- All information is self-reported / subjective information
- No labs, PE, health history
Potential severity of the condition
Self-treatment delays further evaluation
Requires prescription therapy
Underlying health conditions
Special populations (age, pregnancy, breastfeeding)
- May need further evaluation or may not be a nonprescription option
IG is a 21-year-old woman seeking a recommendation for her allergic rhinitis.
What is allergic rhinitis (mostly in nasal passages)? - allergy symptoms
What are typical symptoms? - runny nose, itching and sneezing
Allergic Rhinitis: Exclusions to Self Care
Red sign
Establish that the patient is an appropriate self care candidate:
Symptoms of non-allergic rhinitis:
- PMH of nasal polyps or nasal septal deviation
- Recent facial or head trauma
- Anosmia: loss or sense of smell
do not recommend non-Rx med., refer to provider, non-pharm meds - no
Symptoms of infection:
- Otitis media – ear pain, fever
- Sinusitis – sinus pain, thick nasal discharge
- Bronchitis – SOB, dyspnea
do not recommend non-Rx med., refer to provider STAT, non-pharm meds - no
Uncontrolled asthma or COPD – wheezing, SOB
do not recommend non-Rx med., refer to provider STAT, non-pharm meds - no
